Remote Credentialing Coordinator, Managed Care

Cardinal Health; Phoenix (AZ); Remote; USD 25,000 - 41,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

Health savings account (HSA)

401k savings plan

Access to wages before pay day with my

Flexible spending accounts (FSAs)

Short- and long-term disability

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Job summary

Cardinal Health is seeking a Coordinator, Managed Care, Credentialing to ensure active credentialing/enrollment with contracted payors for all groups and providers. You will also verify licensure and keep certifications up to date across all regions.

The role covers documentation of credentialing activities, license maintenance, training participation, and coordinating enrollment for new and existing providers, with strict adherence to deadlines and collaboration with the Credentialing

Qualifications

• 3+ years of credentialing or payer enrollment experience in a managed care or provider setting.
• Specific knowledge of the payer environment and payer issues.
• Ability to work a flexible schedule (including overtime, and weekends).
• Excellent customer service and communication skills.
• Ability to work independently and as part of a team.
• Working experience with Excel spreadsheets and Microsoft Word documents.
• Credentialing database experience (such as IntelliCred, E-Vips, Vistar, Cactus, Symed) preferred

Responsibilities

• Responsible for documenting and tracking all credentialing/enrollment, re-credentialing/re-enrollment, and hospital privileging activities within the credentialing platform
• Maintain and monitor all licenses and certifications in the credentialing platform to ensure compliance within all regions.
• Participate in training sessions and special projects such as learning new system workflows, completing required training, and adopting updated processes within established timeframes.
• Coordinate provider enrollment activities (including initial enrollments or re-credentialing) for all groups and providers.
• Ensure all facility and provider licenses and certifications are accurate and in good standing at all times.
• Complete all forms and supporting documents required to obtain hospital privileges for physicians, as necessary.
• Ensure that all processing and reporting deadlines are consistently achieved.
• Meet regularly with Credentialing Supervisor and other team members to provide updates on progress and status of credentialing and enrollment matters.
• Performs any other functions as required by management.

Skills

Credentialing

Payer enrollment

Excel

Microsoft Word

Customer service

Education

College degree

Tools

IntelliCred

E-Vips

Vistar

Cactus

Symed

Job description

Cardinal Health is seeking a Coordinator, Managed Care, Credentialing to ensure active credentialing/enrollment with contracted payors for all groups and providers. You will also verify licensure and keep certifications up to date across all regions.

The role covers documentation of credentialing activities, license maintenance, training participation, and coordinating enrollment for new and existing providers, with strict adherence to deadlines and collaboration with the Credentialing